Simon, David L
Simon, David L is an sole proprietor health care provider with primary practice located at 2 Ledgebrook Dr Fl 2 , Mansfield Center CT 06250-1682. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Legal Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Simon, David L can be contacted via phone (860) 356-2242.Contact Information
Primary practice address
2 Ledgebrook Dr Fl 2
Mansfield Center CT 06250-1682
Phone: (860) 356-2242
Fax: (860) 786-1192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | MD-050916L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 60-18004 | New York |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 154633 | Massachusetts |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 013633 | Connecticut |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | G88443 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 013633 | Connecticut |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 013633 | Connecticut |
| Allopathic & Osteopathic Physicians / Legal Medicine | 209800000X | 013633 | Connecticut |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | 13633 | Connecticut |
Profile Details
| NPI number | 1962736611 |
|---|---|
| LBN Legal business name | Simon, David L |
| Credentials | M.D., J.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2009 |
| Last updated | Apr 30th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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